CDRLsA001_A004.pdf

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: Light Weight Rear Housing Assembly, 20mm

E_CONTRACTPR_NO: FD2060-22-00040

FCONTRACTOR:

1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM: Item Unique Identification (IUID) Marking Activity, Validation and Verification Report

3_SUBTITLE: P/N: 200221072-10

4_AUTHORITY_Data_Acquisit: DI-MGMT-81804A

5_CONTRACT_REFERENCE: Per Contract

6_REQUIRING_OFFICE: AFSC 409 SCMS/GUME

7_DID_250_REQ: LT

8_APP_CODE: A

DIST_STATEMENT: C

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: See Blk 16 addressee1: PCO draft1: 1 reg1: 0 repro1: 1 addressee2: See BLK 16 draft2:

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16_REMARKS: Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

BLK 7: The contractor shall submit an IUID Marking Activity, validation and verification report. The Government will review and determine acceptance or rejection and notify contractor within 10 business day of receipt.

BLK 9: DISTRIBUTION C. Distribution authorized to U.S. Government Agencies and their contractors due to critical technology as 9 April 2012. Other requests for this document shall be referred to 409 SCMS/GUEA, 235 Byron Street, Suite 19A, RAFB, GA 31098-1670.

BLK 10, 12 and 13: Report shall be due within 90 days after the First Article Test is submitted. The government has 30 days to accept/reject and provide comments. The contractor shall have 10 business days to correct any errors, incorporate changes, and return a corrected IUID Making Activity and Verification Report to the Government for review.

BLK 14: Reproducible documents (text, drawings, tables, charts, graphic packages used to create figures, and other type documents) shall be delivered in an appropriate, applicable and editable format (AutoCAD, ProE, Microsoft Visio, and compatible Microsoft Office 2007 products) on a CD-ROM, FTP, or via electronic mail to the PCO/Buyer/Spec, ACO, PM/COR, and Engineer, A final approved copy shall be delivered in an editable format and PDF.

PCO: Todd J. Stimus Jr.

email: todd.stimus@us.af.mil PM: Janet M. Harvey email: janet.harvey.3@us.af.mil Engineer: Rickey C. Moore email: rickey.moore@us.af.mil

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page: 1 of_pages: 1

Reset:

reg38t: 0

2021-04-19T06:40:54-0400

MOORE.RICKEY.C.1249718579

2021-04-20T12:23:05-0400

SEALY.TRACEE.A.1229963011

Text15: 4/19/2021

Text16:

Text10: Date: 19 April 2021

Text12: Control Number

2021-04-19T13:42:51-0400

FISKE.ROBERT.R.1260632872

Text11: DMO Signature

Text6:

Text1: 21.04.19.010

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: Light Weight Rear Housing Assembly, 20mm

E_CONTRACTPR_NO: FD2060-22-00040

FCONTRACTOR:

1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM: First Article Qualification Test Plan and Procedures

3_SUBTITLE: P/N: 200221072-10

4_AUTHORITY_Data_Acquisit: DI-NDTI-81307A

5_CONTRACT_REFERENCE: Per Contract

6_REQUIRING_OFFICE: AFSC 409 SCMS/GUME

7_DID_250_REQ: LT

8_APP_CODE: A

DIST_STATEMENT: C

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: See Blk 16 addressee1: PCO draft1: 1 reg1: 0 repro1: 1 addressee2: See BLK 16 draft2:

reg2:

repro2:

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16_REMARKS: Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

Block 8: The Government has 45 calendar days to approve.

Block 12: 45 days ARO contract.

BLK 14: Electronic delivery of Draft copies via e-mail to the following Distribution Addresses shall be delivered in PDF format.

First Article Manager: David Lewis email: david.lewis.49@us.af.mil

PCO: Todd J. Stimus Jr.

email: todd.stimus@us.af.mil

PM: Janet M. Harvey email: janet.harvey.3@us.af.mil

Engineer: Rickey C. Moore email: rickey.moore@us.af.mil

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page: 1 of_pages: 1

Reset:

reg38t: 0

2021-04-19T06:41:17-0400

MOORE.RICKEY.C.1249718579

2021-04-20T12:22:24-0400

SEALY.TRACEE.A.1229963011

Text15: 4/19/2021

Text16:

Text10: Date: 19 April 2021

Text12: Control Number

2021-04-19T13:38:48-0400

FISKE.ROBERT.R.1260632872

Text11: DMO Signature

Text6:

Text1: 21.04.19.010

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: Light Weight Rear Housing Assembly, 20mm

E_CONTRACTPR_NO: FD2060-22-00040

FCONTRACTOR:

1_DATA_ITEM_NO: A004

2_TITLE_OF_DATA_ITEM: TEST / INSPECTION REPORT

3_SUBTITLE: P/N: 200221072-10

4_AUTHORITY_Data_Acquisit: DI-NDTI-80809B

5_CONTRACT_REFERENCE: Per Contract

6_REQUIRING_OFFICE: AFSC 409 SCMS/GUME

7_DID_250_REQ: LT

8_APP_CODE: A

DIST_STATEMENT: C

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: See Blk 16 addressee1: PCO draft1: 1 reg1: 0 repro1: 1 addressee2: See BLK 16 draft2:

reg2:

repro2:

addressee3:

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16_REMARKS: Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

Block 8: The Government has 45 calendar days to approve.

Block 12: Test Report due 45 calendar days from completion of First Article Testing or 270 Days After Contract award.

BLK 14: Electronic delivery Draft copies via e-mail to the following Distribution Addresses shall be delivered in PDF format.

First Article Manager: David Lewis email: david.lewis.49@us.af.mil

PCO: Todd J. Stimus Jr.

email: todd.stimus@us.af.mil

PM: Janet M. Harvey email: janet.harvey.3@us.af.mil

Engineer: Rickey C. Moore email: rickey.moore@us.af.mil

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page: 1 of_pages: 1

Reset:

reg38t: 0

2021-04-19T06:41:40-0400

MOORE.RICKEY.C.1249718579

2021-04-20T12:21:45-0400

SEALY.TRACEE.A.1229963011

Text15: 4/19/2021

Text16:

Text10: Date: 19 April 2021

Text12: Control Number

2021-04-20T09:56:59-0400

FISKE.ROBERT.R.1260632872

Text11: DMO Signature

Text6:

Text1: 21.04.19.010

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: MGMT

DSYSTEMITEM: Light Weight Rear Housing Assembly, 20mm

E_CONTRACTPR_NO: FD2060-22-00040

FCONTRACTOR:

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Item Unique Identification (IUID) Marking Plan

3_SUBTITLE: P/N: 200221072-10

4_AUTHORITY_Data_Acquisit: DI-MGMT-81803A

5_CONTRACT_REFERENCE: Per Contract

6_REQUIRING_OFFICE: AFSC 409 SCMS/GUME

7_DID_250_REQ: LT

8_APP_CODE: A

DIST_STATEMENT: C

10_FREQUENCY: 1 TIME

11_AS_OF_DATE: N/A

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: See Blk 16 addressee1: PCO draft1: 1 reg1: 0 repro1: 1 addressee2: See BLK 16 draft2:

reg2:

repro2:

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16_REMARKS: Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the PCO/ACO without further revision to this CDRL.

BLK 7: The contractor shall submit Marking Plan with a letter of transmittal. Submit invoice in WAWF, DoDAAC FA8554 <https://wawf.eb.mil/>, after submittal of final Marking Plan to account for all previously submitted.

BLK 8: Approval will be required within 90 days of Contract Award.

BLK 9: DISTRIBUTION C. Distribution authorized to U.S. Government Agencies and their contractors due to critical technology as 9 April 2012. Other requests for this document shall be referred to 409 SCMS/GUEA, 235 Byron Street, Suite 19A, RAFB, GA 31098-1670.

BLK 12 and 13: Initial submission shall be due within 45 days of Contract Award. The government has 15 days to accept/reject and provide comments. The contractor shall have 10 days to incorporate changes.

BLK 14: Reproducible documents (text, drawings, tables, charts, graphic packages used to create figures, and other type documents) shall be delivered in an appropriate, applicable and editable format (AutoCAD, ProE, Microsoft Visio, and compatible Microsoft Office 2007 products) on a CD-ROM, FTP, or via electronic mail to the PCO/Buyer/Spec, ACO, PM/COR, and Engineer, A final approved copy shall be delivered in an editable format and PDF.

PCO: Todd J. Stimus Jr.

email: todd.stimus@us.af.mil PM: Janet M. Harvey email: janet.harvey.3@us.af.mil Engineer: Rickey C. Moore email: rickey.moore@us.af.mil

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page: 1 of_pages: 1

Reset:

reg38t: 0

2021-04-19T06:39:39-0400

MOORE.RICKEY.C.1249718579

2021-04-20T12:27:55-0400

SEALY.TRACEE.A.1229963011

Text15: 4/19/2021

Text16:

Text10: Date: 19 April 2021

Text12: Control Number

2021-04-19T13:32:06-0400

FISKE.ROBERT.R.1260632872

Text11: DMO Signature

Text6:

Text1: 21.04.19.010